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STATE IO NUMBER 00000038917001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> {`) 01 NEW PERMIT ( i 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> t 7 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> z OWNER <br /> EALBERT & <br /> TION.IND:VIOUAL OR PUBLIC .AGENCY) <br /> ANOR W, DAVIDSON PUBLIC AGENCY ONLY <br /> 01 FED ( ) 02 STATE t l 03 LOCAL <br /> S <br /> CITY STATE ZIP <br /> OAKLAND CA 94612 <br /> II FACILITY <br /> [BEiiCON <br /> ILITY N� E <br /> STATION #419OEALERiFOREMAN/SUPER4ISOR <br /> LARRY MORGADO <br /> TPEET AOD;ESS3$0 WATERLOO ROAD NEAREST CROSS STREET <br /> SIERRA LANE <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> .TAILING ADDRESS <br /> 525 W. THIRD STREET CITY STATE ZIP <br /> HANFORD CA 93230 <br /> RHONE W/,-PEA. CODE TYPE OF BUSINESS <br /> 209-582-0241 (X) 01 GASOLINE STATION ( i 02 OTHER <br /> N:JMaER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP <br /> 3 RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> EMLUTC-HEN, <br /> N4 E(LAST NArE FIRSTS AND PHONE W/AREA CODE NIGHTS: N4ME(L.4ST NAME FIRST) AND RHONE WlAREA CODE <br /> JIM 209-582-0241 SHIFT SUPERVISOR <br /> 209-582-0246 <br /> :1 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER. ..— - --- - - -- ;CONTAINER NUMBER �--. <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1959 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( i 04 DIESEL f ) 05 WASTE OIL [ 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: .025 f i GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM f ) 07 STEEL CLAD ( ] 08 BRONZE ( ) 09 COMPOSITE t ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />